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See a sample rate comparisonCPT 64876 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Suture Of Nerve Requiring Sho, Suture Of Nerve Requiring Shortening Of Bone Of Extremity(List Separately In Addition To Code For Nerve Suture)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Modifiers | None RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64876 |
| Medicaid Fee Schedule | View Medicaid rates for 64876 |
National average reimbursement for CPT 64876 by major payers:
$275.08
$275.49
$266.37
$323.51
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CPT 64876
5 of 25 sample ratesHigher to lower in this preview
Ball Outpatient Surgery Center, LLC, Ball Outpatient Surgery Center
Ball Outpatient Surgery Center LLC
$2,438.00Published ratePremier At Exton Surgery Center, LLC
$688.00Published rateBrightside Surgical, LLC
Brightside Surgical LLC
$250.00Published rateOliver Street Dermatology Asc LLC, Dermatology Surgery Center
Oliver Street Dermatology Asc LLC
$95.00Published rateMohs And Skin Surgery Center, LLC
Mohs And Skin Surgery Center LLC
$62.00Published rate
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See a sample payer proposalCPT 64876 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64876 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 64876 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 64865-CPT | High | Suture-Facial Nrv;Intratmp,W/Wo Gft |
| 64866-CPT | High | Surgery To Repair Facial Nerve, Surgery To Restore Nerve Function To The Face By Connecting Two Nerves That Are Not Normally Joined (Anastomosis). |
| 64868-CPT | High | Surgery To Repair Facial Nerve, Surgery To Restore Nerve Function To The Face By Connecting Two Nerves That Are Not Normally Joined (Anastomosis). |
| 64876-CPT | Moderate | Suture Of Nerve Requiring Sho, Suture Of Nerve Requiring Shortening Of Bone Of Extremity(List Separately In Addition To Code For Nerve Suture) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64876. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64876 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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